Change Academy At Lake Of The Ozarks
LBN: Change Academy At Lake Of The Ozarks
Change Academy At Lake Of The Ozarks is an health care organization with primary practice located at 130 Calo Lane , Lake Ozark MO 65049. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty.
Change Academy At Lake Of The Ozarks can be contacted via phone (573) 365-2221, or through Brown, Laura J via phone (661) 829-4060.
Contact Information
Primary practice address
130 Calo Lane
Lake Ozark MO 65049
Phone: (573) 365-2221
Fax: (573) 365-2224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | ||
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | 105270 | Missouri |
Profile Details
| NPI number | 1316130784 |
|---|---|
| LBN Legal business name | Change Academy At Lake Of The Ozarks |
| DBA Doing business as | |
| Authorized official | Brown, Laura J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Jun 20th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316130784 | NPPES |
| North Carolina | MEDICAID | 3404547 | |
| North Carolina | MEDICAID | 179084125 |
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